Filomena Barlis
7314 Whitney Creek Ct, Bakersfield,CA
Summary
Dynamic Medical Claims Adjudicator with proven expertise at Bakersfield Family Medical Center, enhancing claims processing efficiency and accuracy. Skilled in claims management and data verification, I excel in teamwork and attention to detail, consistently exceeding performance targets and fostering professional growth within the department.
Overview
12
12
years of professional experience
Work History
Medical Claims Adjudicator
Bakersfield Family Medical Center
05.2019 - 05.2025
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Consistently met or exceeded performance targets for claims processing and adjudication, contributing to overall departmental success.
- Increased accuracy in claim assessments by staying current on industry trends, regulations, and best practices.
- Maintained detailed records of all claims-related activities, fostering transparency and accountability within the department.
- Collaborated with team members and management to meet goals.
- Actively participated in continuous education opportunities related to insurance laws, products offerings available in the market which helped better serve clients.
- Conducted regular audits on completed claims to identify areas for improvement and implement corrective measures as needed.
- Reduced errors in claims adjudication through diligent review of policies and thorough investigation of claims.
- Supported team members in resolving challenging cases, sharing expertise to foster professional growth among colleagues.
Receptionist/Medical Billing Assistant
Advanced Heath Care Of Bakersfield
04.2015 - 02.2018
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Resolved customer problems and complaints.
- Handled cash transactions and maintained sales and payments records accurately.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Responded to inquiries from callers seeking information.
- Answered central telephone system and directed calls accordingly.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Maintained confidentiality of information regarding clients and company.
- Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
- Streamlined invoice processing to ensure timely payments and financial operations.
- Routed incoming mail and messages to relevant personnel without delay.
- Assisted in reducing patient wait times by efficiently managing appointment scheduling and front desk operations.
- Assured accurate charge capture by working closely with clinical staff to verify services provided before submitting claims.
- Reduced billing discrepancies by diligently reviewing medical coding and ensuring accuracy in data entry.
- Safeguarded patient privacy, adhering to strict HIPAA regulations during all aspects of the billing process.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Child Care Helper
A Good Time Out
04.2013 - 03.2015
- Developed strong bonds with each child, creating a sense of security within the childcare environment.
- Improved language skills in young children through engaging storytelling and interactive activities.
- Maintained a safe environment for children by adhering to strict safety guidelines and protocols.
- Supported the development of fine motor skills with hands-on activities, such as arts and crafts projects.
- Managed daily routines efficiently, keeping children on track with scheduled naps, meals, and activities.
- Maintained clean, neat and hazard-free areas to protect kids, personnel and families.
- Sanitized dishes, tabletops, toys, and frequently touched surfaces to prevent spreading of germs.
- Taught children to organize toys, wash hands, and share by leading by example.
- Provided lunchtime assistance to monitor children, assist with eating and serve food.
- Responded to inquiries from parents and guardians.
- Logged information regarding naps, feedings, and any medications administered.
- Dispensed snacks and meals to children in accordance with nutritional guidelines.
Education
Certificate - Medical Billing And Coding
Bakersfield Adult School
Bakersfield, CA08-2014
Bachelor of Science - Business Administration
University of The East
Manila, Philippines10-1987
Skills
- Claims processing
- Claims management
- Data verification
- Insurance claim regulations
- Claims processing documentation
- Coding systems
- Teamwork and collaboration
- Insurance policy knowledge
- Attention to detail
- Computer skills
- Organizational skills
- MS office
- Payment processing
Languages
English
Full Professional
Tagalog
Native or Bilingual
Timeline
Medical Claims Adjudicator
Bakersfield Family Medical Center
05.2019 - 05.2025
Receptionist/Medical Billing Assistant
Advanced Heath Care Of Bakersfield
04.2015 - 02.2018
Child Care Helper
A Good Time Out
04.2013 - 03.2015
Certificate - Medical Billing And Coding
Bakersfield Adult School
Bachelor of Science - Business Administration
University of The East
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